The 46-year-old sex worker suffered extensive internal injuries during the alleged assault when the accused inserted his entire fist inside her last week, police said at the time of the accuseds arrest.

The man was extradited from Miami and arrested by Tweed police officers and charged with aggravated sexual assault and recklessly inflict grievous bodily harm.

He appeared at the Tweed Heads Local Court on Monday and was refused bail before appearing again in court Yesterday.

Yesterday, the prosecution apposed bail arguing for the protection of the victim.

But the defence for the accused said the man's health and age needed to be considered.

It was also argued the accused had strong community ties in Miami community, as he'd lived there for seven years.